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Chronic fatigue syndrome classed as psychological illness on work's absence documentation

96 replies

OliveK · 08/05/2024 17:02

I am suffering from post viral fatigue after a horrific year of illness. Obviously I am hoping that this is reasonably short lived. But i am also aware that I could be on a pathway to CFS/ME/long covid.
I was looking into the absence procedures for work and they require you to classify your illness/reason for absence.
AIBU to feel uncomfortable with CFS to be listed in the Psychological category? It just seems to be harking back to all that yuppie flu bullshit. I'm not wildly comfortable with having a long term "Psychological illness" on my record. I mean no disrespect to anyone for whom that may be the case. But I am physically unwell!

OP posts:
AGlinnerOfHope · 08/05/2024 20:45

I too have taken magnesium, vit d, vit b, and many others. I get momentarily attracted by various possibilities, then remember that nothing else has worked so taking a random supplement probably won’t either.

I’ve also seen really poor information distributed by support groups which totally dilutes the quality information.

Basically self care is the only mitigation I’ve found. Pacing, stress management, exercise, massage.

Fucking tedious, frankly, and so sodding frustrating.

OliveK · 08/05/2024 20:39

I have started on vit C, magnesium, zinc and I already took vit D.
Someone else suggested that my off the shelf supplements were crap tho.
I am so wary of getting dragged down lots of rabbit holes...years ago people posted about really weird shit like ground up sharks teeth...and I spent lots of money on homeopathic remedies, which I really don't even believe in.
I know it's just rest and time really...but fuck me it's frustrating and awful

OP posts:
itsgettingweird · 08/05/2024 20:31

For a long time there were no tests to "diagnose" my condition. It didn't magically become a real illness the day a test was invented.

Precisely. There's a genetic test to test my ds condition but only for identified genes.

Otherwise it's a diagnosis of exclusion.

And there's many like him that have right gene fault but "wrong" (unknown clinical significance) fault on the gene.

norasand · 08/05/2024 20:29

dreamtolive · 08/05/2024 20:06

CBT is literally the first treatment listed for CFS in the NHS online guidance.

No, the guidelines specifically states to only offer CBT to support living with CFS and that it is NOT curative. The guidelines specifically highlights this. 1.12.28 - 1.12.34

crumbpet · 08/05/2024 20:28

OliveK · 08/05/2024 20:19

@LookAtMyTinyGameBoy Both/all are real! But the treatment/ support is different.

@dreamtolive as far as I understand it, CBT is offered to help sufferers manage how they deal with having a chronic condition? It understandably leads to strong negative emotions...so I think the CBT is about reframing and helping with acceptance of your "new" life..I might be wrong though.

@timenowplease but I don't know if it's long covid. It could be? But I've had experiences like this years before covid so I don't think it is.

Hi OP, I've been diagnosed with both conditions. They think the ME made me more prone to the long covid. I did a course on long covid and some supplements were suggested including magnesium, vitamin d, vitamin c and zinc. I know you'll hear all sorts of "cures" and I'm not suggesting they'll cure you at all.

I do wish you the absolute best of luck on your journey. It is not an easy one, but there is A LOT more understanding generally of these "hidden" illnesses than say 20 years ago.

crumbpet · 08/05/2024 20:25

There is absolutely a psychological IMPACT of it but not a psychological CAUSE

timenowplease · 08/05/2024 20:23

@OliveK Does it matter though? I've had post viral fatigue most my life, it's not taken seriously. If I were you I'd put it down to long covid which is understood to be a thing.

Hope you feel better soon. Are you taking Vit D3?

TruthThatsHardAsSteel · 08/05/2024 20:21

AGlinnerOfHope · 08/05/2024 19:05

Fibromyalgia is classed under rheumatology, it could have autoimmune connections. There’s talk of mitochondrial misfunction.

I’ve had masseurs find damage through all my muscles that are usually associated with injury.

CFS, Long Covid, Fibromyalgia… it’s not great to assign them as psychological. It just doesn’t come close.

I've had the same.. Any time I get massages, they're devastated at what they find and how bad things are. (fibromyalgia diagnosis 2006 after being attacked)

OliveK · 08/05/2024 20:19

@LookAtMyTinyGameBoy Both/all are real! But the treatment/ support is different.

@dreamtolive as far as I understand it, CBT is offered to help sufferers manage how they deal with having a chronic condition? It understandably leads to strong negative emotions...so I think the CBT is about reframing and helping with acceptance of your "new" life..I might be wrong though.

@timenowplease but I don't know if it's long covid. It could be? But I've had experiences like this years before covid so I don't think it is.

OP posts:
CleverCats · 08/05/2024 20:14

🙄😳 it’s not a treatment and everyone knows it’s not a treatment for the condition. It’s the only thing the nhs can put as there’s nothing else been researched. The reason CBT is there is to help sufferers adjust their expectations of their life whilst living with the condition (in the same way it might be offered the cancer patients).

dreamtolive · 08/05/2024 20:06

CBT is literally the first treatment listed for CFS in the NHS online guidance.

CleverCats · 08/05/2024 19:56

Posters are being disingenuous pretending they don’t understand why someone with cfs wouldn’t want it recorded as a psychological condition. The two are clearly totally different. Would we suggest recording arthritis as a psychological condition? It would be ridiculous.

A psychological condition can manifest with physical symptoms which originate in a mental health condition. The treatment path is therefore treating the mental health condition and attempting to reduce any physical symptoms.

CFS/long covid is a physical condition with no known treatment or cure. Full stop. There is no mental health condition and therefore no mental health treatment. And no physical treatment either.

goldenwolden · 08/05/2024 19:52

is it linked to insurance? If so they may be tracking across their providers tick boxes?

Calliopespa · 08/05/2024 19:50

Welovecrumpets · 08/05/2024 17:03

If there’s no pathology then they can’t call it a physical illness

There suddenly seems to be an awful lot of fibromyalgia, CFS and post viral fatigue etc

There has been. Some feel it is related to covid and there have been other virus peaks as well.

LookAtMyTinyGameBoy · 08/05/2024 19:47

norasand · 08/05/2024 18:39

The trouble is that people with CFS or fibromyalgia constantly come up against this and often from clueless medical professionals. They get completely worn down with it. If you read up on the history of those conditions you'll see why.

I know perfectly well why they develop these ways of responding. I just think that any time I come across that type of reaction, it conveys a shitty underlying attitude towards people with mental illness. It's just unnecessary. You don't need to push other people down to try to elevate yourself.

It's fine to be assertive about the nature of the condition and to reiterate that it's not considered a primarily psychological disorder in origin by medical authorities. It makes total sense to raise concerns when your condition is miscategorised on official paperwork. I'm not talking about people who are reasonably fed up with misconceptions and trying to correct them.

I'm talking about those people (again, not talking about anyone on this thread) who are offended and angry to be "accused" of having a mental health problem, and who are angry because their condition is actually real. And yes, that might be in response to other people around them using "psychological" to mean "not real" in reference to their condition, but it's still shitty to buy into it.

timenowplease · 08/05/2024 19:43

Call it long covid then. That's a post viral syndrome after all.

OliveK · 08/05/2024 19:33

@SpaghettiWithaYeti that's exactly it! I'm so keen to return to work..I know I'm not fit for it yet, but if I do need supports in place I need them to be appropriate. There will be certain physical aspects I might not be able to do for example, at least to start with.

OP posts:
Albionsolutions · 08/05/2024 19:23

Perhaps OP is just sick of people not taking her illness seriously

OliveK · 08/05/2024 19:22

@Jumpingthruhoops I don't know how to edit sorry.
It's just so frustrating - I may be misunderstanding the term, but psychological sounds like it's in your head. As pps have said, its a ridiculous notion that plenty of people still have, that you can some how think yourself better, or it's all in your head. Like telling someone with depression to cheer up!
I really appreciate the links people have provided - it's early days for me yet but I certainly will talk to my employers about it.
I'm in pain, exhausted and just want my normal life back.

OP posts:
SpaghettiWithaYeti · 08/05/2024 19:09

Jumpingthruhoops · 08/05/2024 18:10

OP literally says in her first post: 'I'm not wildly comfortable with having a long term "Psychological illness" on my record.'

That comment has ZERO to do with being concerned about how her condition is 'treated' and EVERYTHING to do with her own prejudices around mental illness because people judge. Ironic really...

@dammit88 comment is spot on!

I disagree. If I had a mental health condition I equally wouldn't want it mislabelled on my record as a physical condition.

These things matter. They matter in terms of treatments and support and for employers they matter in terms of establishing appropriate reasonable adjustments. I don't need counselling I need to be able to work from home during a flare (for instance)

AGlinnerOfHope · 08/05/2024 19:05

Fibromyalgia is classed under rheumatology, it could have autoimmune connections. There’s talk of mitochondrial misfunction.

I’ve had masseurs find damage through all my muscles that are usually associated with injury.

CFS, Long Covid, Fibromyalgia… it’s not great to assign them as psychological. It just doesn’t come close.

Allthehorsesintheworld · 08/05/2024 19:03

@norasand , you’ve nailed it.

AGlinnerOfHope · 08/05/2024 19:02

alexisccd · 08/05/2024 18:28

massive over simplification of psychological illness - one can recover by thinking differently. jesus wept

Well of course it’s an oversimplification.

The fact remains I am not going to get better with therapy.

There may be psychological reasons for my vulnerability to my condition- but my condition isn’t psychological.

You probably need to be clearer about your opinion if you want people to understand what you’re getting at.

Radon · 08/05/2024 19:01

It's classed as neurological. You could correct them. Doesn't change how it affects you though, do you have the energy to fight it?

norasand · 08/05/2024 18:39

LookAtMyTinyGameBoy · 08/05/2024 18:30

I do get a bit irked by the way a certain proportion of people with problems like CFS and fibromyalgia react sometimes, when others (probably incorrectly) suggest their problems may be rooted in psychological issues, or even when people suggest there may a psychological component or ways that psychological intervention can help them manage. I'm not talking about OP here (or anyone else on this thread) — OP is justified in her objections IMO, and hasn't said anything that does down people with mental health problems. But there are a few whose vehemence and offence-taking and insistence that they have a real condition betray ugly attitudes to mental illness. I understand that they're frustrated, and they feel they're being dismissed (and they probably are being dismissed some of the time TBH), but there's no need to take offence at the idea of having an illness with a psychological cause, or to imply that saying something's psychological is the same as saying something's not real.

Equally, it pisses me off when, any time there's difficulty determining the cause of a problem, and the science hasn't yet caught up with reality, it just gets dumped in the "must be psychological" box. Psychological problems are real and serious and defined. It shouldn't just be treated as a dumping-ground, any more than something like cardiology or endocrinology would be. Imagine if every time somebody had a weird, vague, hard-to-diagnose health problem whose cause is yet to be determined, everyone just went "Well, we can't find any problem, so it's probably gastroenterological." As well as wasting a lot of people's time, it would devalue gastroenterology and make people with actual gastro issues as well as people with poorly-understood conditions all feel they were being dumped on the shit-heap together.

The trouble is that people with CFS or fibromyalgia constantly come up against this and often from clueless medical professionals. They get completely worn down with it. If you read up on the history of those conditions you'll see why.

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